| NPI | 1619786290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA KOROTKEVICH Executive 561-222-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |